Evidence map›Paper›PMID 38877521›Full record

ReviewMicrobiome2024

Gut microbiome and cardiometabolic comorbidities in people living with HIV.

Marius Trøseid, Susanne Dam Nielsen, Ivan Vujkovic-Cvijin

Abstract readReview
In one paragraph

Review in Microbiome, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Marius TrøseidResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway. marius.troseid@medisin.uio.no.
Susanne Dam NielsenDepartment of Infectious Diseases, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Ivan Vujkovic-CvijinDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Funding

Gut microbiota-mediated fiber fermentation in HIV-associated cardiovascular diseaseDP1HL174182 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI Ivan Vujkovic-Cvijin · 2024 to 2026
$1.7M
NHLBI NIH HHS DP1 HL174182
6 · The paper itself

Abstract

backgroundDespite modern antiretroviral therapy (ART), people living with HIV (PLWH) have increased relative risk of inflammatory-driven comorbidities, including cardiovascular disease (CVD). The gut microbiome could be one of several driving factors, along with traditional risk factors and HIV-related risk factors such as coinfections, ART toxicity, and past immunodeficiency.

resultsPLWH have an altered gut microbiome, even after adjustment for known confounding factors including sexual preference. The HIV-related microbiome has been associated with cardiometabolic comorbidities, and shares features with CVD-related microbiota profiles, in particular reduced capacity for short-chain fatty acid (SCFA) generation. Substantial inter-individual variation has so far been an obstacle for applying microbiota profiles for risk stratification. This review covers updated knowledge and recent advances in our understanding of the gut microbiome and comorbidities in PLWH, with specific focus on cardiometabolic comorbidities and inflammation. It covers a comprehensive overview of HIV-related and comorbidity-related dysbiosis, microbial translocation, and microbiota-derived metabolites. It also contains recent data from studies in PLWH on circulating metabolites related to comorbidities and underlying gut microbiota alterations, including circulating levels of the SCFA propionate, the histidine-analogue imidazole propionate, and the protective metabolite indole-3-propionic acid.

conclusionsDespite recent advances, the gut microbiome and related metabolites are not yet established as biomarkers or therapeutic targets. The review gives directions for future research needed to advance the field into clinical practice, including promises and pitfalls for precision medicine. Video Abstract.

Indexed as

Cardiovascular DiseasesComorbidityDysbiosisGastrointestinal MicrobiomeHIV InfectionsFatty Acids, VolatileHumansInflammationRisk FactorsFatty Acids, Volatile

Identifiers

PMID38877521
PMCPMC11177534

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.